<div class="page_title">
    <span class="title_icon"><span class="small_brush"></span></span>
    <h3>TRIED</h3>
    <div class="top_search">
        <form action="#" method="post">
            <ul id="search_box">
                <li>
                    <input name="" type="text" class="search_input" id="suggest1" placeholder="Search...">
                </li>
                <li>
                    <input name="" type="submit" value="" class="search_btn">
                </li>
            </ul>
        </form>
    </div>
</div>
<div id="content">
    <div class="grid_container">
        <div class="grid_12 full_block">
            <div class="widget_wrap">
                <div class="widget_top">
                    <span class="h_icon list"></span>
                    <h6>Registro de Datos</h6>
                </div>
                <div class="widget_content">         
                    <h2 class="primary_h">Datos del Paciente</h2>
                    <h3 class="box_h">
                        NOMBRE :&nbsp;&nbsp;&nbsp;&nbsp;
                        <?php echo $datosPaciente['Paciente']['nombres']; ?>
                        <?php echo $datosPaciente['Paciente']['ap_paterno']; ?>
                        <?php echo $datosPaciente['Paciente']['ap_materno']; ?>
                        <br />
                        CARNET:&nbsp;&nbsp;&nbsp;&nbsp;
                        <?php echo $datosPaciente['Paciente']['carnet']; ?> 
                        <br />
                        FECHA NACIMIENTO:&nbsp;&nbsp;&nbsp;&nbsp;
                        <?php echo $datosPaciente['Paciente']['fecha_nacimiento']; ?>
                    </h3>

                </div>                
            </div>           
        </div>        
    </div>
    <div class="grid_container">
        <div class="grid_12">
            <div class="widget_wrap">
                <div class="widget_top">
                    <span class="h_icon list"></span>
                    <h6>REGISTRO DE MEDICIONES</h6>
                </div>
                <div class="widget_content">
                    <?php echo $this->Form->create('Triaje',array('url'=>array('controller'=>'triaje','action'=>'patologia'), 'id'=>"form103",'class'=>"form_container left_label valid_tip"))?>
                    <!--<form action="" method="post" id="form103" class="form_container left_label valid_tip">-->

                        <ul>
                            <li>
                                <div class="form_grid_12">
                                    <label class="field_title">CONCEPTO</label>
                                    <div class="form_input">
                                        <span>
                                            <input name="data[Paciente][sexo]" class="radio" type="radio" value="F" tabindex="10" selected>
                                            <label class="choice" style="background: tomato">TRAUMA</label>
                                        </span><span>
                                            <input name="data[Paciente][sexo]" class="radio" type="radio" value="M" tabindex="11">
                                            <label class="choice" style="background: turquoise">NO TRAUMA</label>
                                        </span>
                                    </div>
                                </div>
                            </li>
                            <li>
                                <div class="form_grid_12">
                                    <label class="field_title">PA <span style="font-size: 8px">Presi&oacute;n Arterial</span></label>
                                    <div class="form_input">
                                        <div class="form_grid_4 alpha">
                                            <input name="filed01" type="text" tabindex="1" class="required"/>
                                            <span class=" label_intro">RANGO MAX.</span>
                                        </div>
                                        <div class="form_grid_4">
                                            <input name="filed201" type="text" tabindex="1" class="required"/>
                                            <span class=" label_intro">RANGO MIN</span>
                                        </div>

                                        <span class="clear"></span>
                                    </div>
                                </div>
                            </li>
                            <li>
                                <div class="form_grid_12">
                                    <label class="field_title"> To <span style="font-size: 8px">Temperatura</span></label>
                                    <div class="form_input">
                                        <div class="form_grid_4 alpha">
                                            <input name="filed01" type="text" tabindex="1" />
                                            <span class=" label_intro">grados centigrados.</span>
                                        </div>
                                        <span class="clear"></span>
                                    </div>
                                </div>
                            </li>
                            <li>
                                <div class="form_grid_12">
                                    <label class="field_title"> FC <span style="font-size: 8px">Frecuencia cardiaca</span></label>
                                    <div class="form_input">
                                        <div class="form_grid_4 alpha">
                                            <input name="filed01" type="text" tabindex="1" />
                                            <span class=" label_intro">latidos/segundo.</span>
                                        </div>
                                        <span class="clear"></span>
                                    </div>
                                </div>
                            </li>
                            <li>
                                <div class="form_grid_12">
                                    <label class="field_title"> FR <span style="font-size: 8px">Frecuencia Radial</span></label>
                                    <div class="form_input">
                                        <div class="form_grid_4 alpha">
                                            <input name="filed01" type="text" tabindex="1" />
                                            <span class=" label_intro">pulsaciones/segundo.</span>
                                        </div>
                                        <span class="clear"></span>
                                    </div>
                                </div>
                            </li>
                            <li>
                                <div class="form_grid_12">
                                    <label class="field_title"> Sat O2 <span style="font-size: 8px">Saturacion de Oxigeno</span></label>
                                    <div class="form_input">
                                        <div class="form_grid_4 alpha">
                                            <input name="filed01" type="text" tabindex="1" />
                                            <span class=" label_intro">mm.Hg.</span>
                                        </div>
                                        <span class="clear"></span>
                                    </div>
                                </div>
                            </li>
                            <li>
                                <div class="form_grid_12">
                                    <label class="field_title"> GCS <span style="font-size: 8px">xxx</span></label>
                                    <div class="form_input">
                                        <div class="form_grid_4 alpha">
                                            <input name="filed01" type="text" tabindex="1" />
                                            <span class=" label_intro">xxx.</span>
                                        </div>
                                        <span class="clear"></span>
                                    </div>
                                </div>
                            </li>
                            
                            <li>
                            <div class="form_grid_12">
                                <div class="form_input">
                                    <button type="submit" class="btn_small btn_blue"><span>Continuar</span></button>
                                    <button type="reset" class="btn_small btn_orange"><span>Limpiar datos</span></button>
                                </div>
                            </div>
                            </li>
                        </ul>
                    </form>
                </div>
            </div>
        </div>
    </div>

    <span class="clear"></span>
</div>